<table class="admintable" border="0">
<tbody>
<tr>
<td width="100" align="right">{email_lbl}:</td>
<td>{email}</td>
<td><span class="required">*</span></td>
</tr><!-- {retype_email_start} -->
<tr>
<td width="100" align="right">{retype_email_lbl}</td>
<td>{retype_email}</td>
<td><span class="required">*</span></td>
</tr><!-- {retype_email_end} -->
<tr>
<td width="100" align="right">{firstname_lbl}</td>
<td>{firstname}</td>
<td><span class="required">*</span></td>
</tr>
<tr>
<td width="100" align="right">{lastname_lbl}</td>
<td>{lastname}</td>
<td><span class="required">*</span></td>
</tr>
<tr>
<td width="100" align="right">{address_lbl}</td>
<td>{address}</td>
<td><span class="required">*</span></td>
</tr>
<tr>
<td width="100" align="right">{zipcode_lbl}</td>
<td>{zipcode}</td>
<td><span class="required">*</span></td>
</tr>
<tr>
<td width="100" align="right">{city_lbl}</td>
<td>{city}</td>
<td><span class="required">*</span></td>
</tr>
<tr id="{country_txtid}" style="{country_style}">
<td width="100" align="right">{country_lbl}</td>
<td>{country}</td>
<td><span class="required">*</span></td>
</tr>
<tr id="{state_txtid}" style="{state_style}">
<td width="100" align="right">{state_lbl}</td>
<td>{state}</td>
<td><span class="required">*</span></td>
</tr>
<tr>
<td width="100" align="right">{phone_lbl}</td>
<td>{phone}</td>
<td><span class="required">*</span></td>
</tr>
<tr>
<td colspan="3">{private_extrafield}</td>
</tr>
</tbody>
</table>